Organization Active NPI

Morning Star Physical Therapy P.C

  • Specialist
  • Fresh Meadows, NY
National Provider Identifier
1013230697
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
026231 Issued in NY
Legal business name
MORNING STAR PHYSICAL THERAPY P.C
Practice address
77-16 164 Street
Fresh Meadows, NY 11366
Phone
(718) 969-6100
Fax
(718) 969-6103
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohamed Y Elsaidy, PT
Title
Owner
Phone
(718) 969-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 026231 NY Primary

Addresses

Primary practice location

77-16 164 Street
Fresh Meadows, NY 11366

Mailing address

77-16 164 Street
Fresh Meadows, NY 11366
Phone (718) 969-6100

Other names 1

  • Morning Star Physical Therapy P.C Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1013230697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-16 164 STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-969-6100",
            "fax_number": "718-969-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-16 164 STREET",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "718-969-6100",
            "fax_number": "718-969-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "ELSAIDY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-969-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "026231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morning Star Physical Therapy P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.